A 55-year-old male patient is coming to the hospital for an outpatient service for a prostate biopsy. The patient has a family history of prostate cancer, had recent blood work showing elevated PSA levels, and has problems urinating. The patient presents and is placed under anesthesia and prepped and draped. Ultrasonic guidance is used for needle placement, and a needle biopsy is taken. The biopsy is sent to pathology, and the patient is awaiting the results. Select the appropriate CPT and ICD-10-CM codes:

Question

Quizplus · Accepted Answer

The correct CPT codes for this procedure are 55700 (Biopsy, prostate; needle or punch, single or multiple, any approach) for the prostate biopsy and 76942 (Ultrasonic guidance for needle placement, imaging supervision and interpretation) for the ultrasonic guidance used during the biopsy. The ICD-10-CM codes are R97.20 (Elevated prostate specific antigen [PSA]) for the elevated PSA levels and Z80.42 (Family history of malignant neoplasm of prostate) for the family history of prostate cancer.

A 55-Year-Old Male Patient Is Coming to the Hospital for an Outpatient